| NPI | 1487612743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: LA 339249) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME111761) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-11-09 |